Region XII Council of Governments is preparing a housing needs assessment for the City of Jefferson. The housing needs assessment is an analysis of the housing stock, as well as programs within the community to determine which aspects need improvement and which areas are meeting needs. Part of the planning process includes a public opinion survey. Completing the following survey will help to identify housing strengths and weaknesses in the community.

The following survey should take approximately 10 minutes to complete. None of the information you provide will be used to identify you, this is a completely anonymous survey.

Paper copies of this survey are available at City Hall.

Completed paper copy surveys may be returned to City Hall, or mailed to Region XII COG at the address below.

Thank you for your participation.

Please direct questions regarding this survey to:
Molly Mannel, Economic Recovery Planner
Region XII Council of Governments
1009 E Anthony St, P.O. Box 768
Carroll, IA 51401

mmannel@region12cog.org
712-792-9914

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* 1. Do you live in the City of Jefferson?

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* 2. If you answered “no,” where do you reside?

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* 3. If you answered “yes” to question one, how long have you lived in Jefferson?

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* 4. What attracted you to Jefferson? (please select all that apply)

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* 5. Do you work in Jefferson?

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* 6. Are you male or female?

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* 7. Which category below includes your age?

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* 8. What is your race?

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* 9. How many people are in your household?

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* 10. How many children in your household are the age of 17 or younger?

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* 11. What category best describes your gross total income from all sources before deductions last year? This includes employment income, net business income, farm, or rent; pensions; dividends; interest; social security payments; etc.

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* 12. What is your level of education?

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* 13. Which of the following categories best describes your employment status?

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* 14. If working, what field are you employed in?

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* 15. What is your current housing ownership status?

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* 16. How do you feel about your current housing?

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* 17. Are you looking for a new residence?

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* 18. If you answered "Yes, outside of Jefferson," why are you looking outside of Jefferson?

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* 19. Do you have the resources to maintain your current home?

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* 20. Do any of the following factors prevent you from making investments into your current house? (please select all that apply)

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* 21. Overall, how would you rate the condition of Jefferson's housing stock?

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* 22. Overall, how would you rate the condition of the apartments in Jefferson?

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* 23. Do you think there is an adequate supply of housing choices (type, cost, condition) in Jefferson?

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* 24. Should the following types of housing be expanded in Jefferson?

  Yes No Maybe Unsure
Housing for people with special needs
Starter homes
Senior housing 
Low-income housing
Mobile home parks
Duplexes
Condominiums
Apartments
Single-family housing ($200,000 and above)
Single-family housing ($200,000 and below)

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* 25. How important are recreational facilities to you and your family?

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* 26. Do you feel that there are adequate recreational opportunities in Jefferson?

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* 27. Do you feel there are adequate entertainment options in Jefferson?

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* 28. If no, what would you like to see? (please select all that apply)

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* 29. Are there adequate employment opportunities available in Jefferson?

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* 30. Thank you for taking time to complete this survey. Please feel free to make any additional comments below. 

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